Kepatuhan Pengobatan dan Kepuasan Pasien terhadap Terapi Hipertensi: Tinjauan Klinis di Puskesmas Dukuh Kupang Surabaya (Oktober–Desember 2023)
DOI:
https://doi.org/10.30742/cmj.v3i1.149Keywords:
hipertensi, kepatuhan terapi, kepuasan pasienAbstract
Latar Belakang: Hipertensi merupakan kondisi medis yang ditandai oleh peningkatan tekanan darah secara persisten melebihi batas normal, yaitu ≥140/90 mmHg. Meskipun dapat disembuhkan secara permanen, hipertensi tetap bisa dikendalikan melalui pengobatan yang tepat. Dalam hal ini, kepatuhan pasien terhadap terapi memegang peranan penting guna mencegah komplikasi jangka panjang. Tujuan: Penelitian ini bertujuan untuk menggambarkan tingkat kepatuhan serta tingkat kepuasan pasien terhadap terapi hipertensi di Puskesmas Dukuh Kupang, Surabaya, selama periode Oktober hingga Desember 2023. Metode: Penelitian ini menggunakan desain deskriptif dengan pendekatan kuantitatif. Data dikumpulkan melalui penyebaran kuesioner kepada 50 pasien hipertensi yang menjalani pengobatan di Puskesmas Dukuh Kupang. Kepatuhan terapi diukur menggunakan instrumen Morisky Medication Adherence Scale (MMAS-8), sedangkan tingkat kepuasan pasien terhadap pengobatan dievaluasi melalui Treatment Satisfaction Questionnaire for Medication (TSQM). Hasil: Dari total 50 responden, sebanyak 28% pasien menunjukkan tingkat kepatuhan tinggi, 36% dengan tingkat kepatuhan sedang, dan 36% tergolong rendah. Dari segi kepuasan terhadap layanan terapi obat hipertensi, mayoritas pasien berada dalam kategori cukup puas (74%), sedangkan sisanya (26%) mengaku sangat puas. Kesimpulan: Secara umum, tingkat kepatuhan dan kepuasan terhadap terapi hipertensi di Puskesmas Dukuh Kupang tergolong cukup baik. Namun, masih dibutuhkan upaya tambahan, khususnya untuk pasien dengan kepatuhan rendah dan kepuasan yang belum optimal, melalui peningkatan edukasi serta perbaikan mutu layanan kesehatan.
References
Ainsyah, R. W., & Lusno, M. F. (2018). The Protective Factor of Diarrhea Incidence in Toddler in Surabaya. Jurnal Berkala Epidemiologi, 6(1), 51–59. https://doi.org/10.20473/jbe.V6I12018.51-59
Anugrah, Y., Saibi, Y., Betha, O. S., & Anwar, V. A. (2020). Kepatuhan Minum Obat Pasien Hipertensi Di Rumah Sakit Umum Daerah (Rsud) Tangerang Selatan. SCIENTIA : Jurnal Farmasi Dan Kesehatan, 10(2), 224. https://doi.org/10.36434/scientia.v10i2.322
Asri, Mundakir, Hakim, M.N. (2024). Studi Kasus Edukasi Digital Deteksi Dini Stroke pada Penderita Hipertensi. Jurnal Keperawatan Muhammadiyah, 9(2). https://doi.org/10.30651/jkm.v9i2.23542
Burnier, M. (2006). Medication adherence and persistence as the cornerstone of effective antihypertensive therapy. American journal of hypertension, 19(11), 1190-1196. https://doi.org/10.1016/j.amjhyper.2006.04.006
Bauer, A. M., Parker, M. M., Schillinger, D., Katon, W., Adler, N., Adams, A. S., ... & Moffet, H. H. (2016). Associations between antidepressant adherence and shared decision-making, patient-provider trust, and communication among adults with diabetes: Diabetes Study of Northern California (DISTANCE). Journal of General Internal Medicine, 31(3), 293-302. https://doi.org/10.1007/s11606-014-2845-6
Blaum, C., Brunton, S., & Mullins, C. D. (2017). Patient adherence in type 2 diabetes and role of technology in promoting adherence: A systematic review. The Diabetes Educator, 43(1), 83-100
Bolbrinker, J., Zaidi, T. A., Marwick, T. H., & Chapman, N. (2020). Availability and cost of blood pressure-lowering therapies and the impact on hypertension control in high-income and low-income countries. Heart, 106(17), 1281-1286.
Courtenay, WH (2000). Konstruksi maskulinitas dan pengaruhnya terhadap kesejahteraan pria: Teori gender dan kesehatan. Ilmu Sosial & Kedokteran, 50 (10), 1385–1401. https://doi.org/10.1016/S0277-9536(99)00390-1
Dailey, G., Kim, M. S., & Lian, J. F. (2002). Patient compliance and persistence with antihyperlipidemic and anti-hypertensive therapy: : evaluation of a population of type 2 diabetic patients. J Int Med Res, 30(1), 71-79. https://doi.org/10.1177/147323000203000111
Gellad, W. F., Grenard, J. L., & Marcum, Z. A. (2011). A systematic review of barriers to medication adherence in the elderly: looking beyond cost and regimen complexity. The American journal of geriatric pharmacotherapy, 9(1), 11-23. https://doi.org/10.1016/j.amjopharm.2011.02.004
Hazwan, A., & Pinatih, G. N. I. (2017). Gambaran karakteristik penderita hipertensi dan tingkat kepatuhan minum obat di wilayah kerja puskesmas Kintamani I. Intisari Sains Medis, 8(2). https://doi.org/10.15562/ism.v8i2.127
Iloh, G. U., Ofoedu, J. N., Njoku, P. U., Godswill-Uko, E. U., & Amadi, A. N. (2013). Medication adherence and blood pressure control amongst adults with primary hypertension attending a tertiary hospital primary care clinic in Eastern Nigeria. Afr J Prim Health Care Fam Med, 5(1), 1-6. https://doi.org/10.1186/s12872-020-01741-5
Kemenkes. (2021). Pedoman Nasional Pelayanan Kedokteran Tata Laksana Hipertensi Dewasa. Kementerian Kesehatan RI, 1–85.
Krousel-Wood, M. A., Muntner, P., Islam, T., Morisky, D. E., & Webber, L. S. (2009). Barriers to and facilitators of medication adherence in hypertension management: perspective of the cohort study of medication adherence among older adults. Medical Clinics of North America, 93(3), 753-769. https://doi.org/10.1016/j.mcna.2009.02.007
Liu, J., Wu, T., Chen, X., & Duan, Y. (2020). Factors affecting medication adherence to hypertension treatment among adult patients: A systematic review. Journal of Evidence-Based Medicine, 13(3), 214-225.
Maharani, A., Tampubolon, G., Hossain, M., & Pujisubekti, R. (2019). Determinants of hypertension in Indonesia: A nationwide study. International Journal of Hypertension, 2019, 1-10.
Meher M., Pradhan, S., Pradhan, S.R. (2023). Risk Factors Associated With Hypertension in Young Adults: A Systematic Review. Cureus, 12;15(4):e37467. https://doi.org/10.7759/cureus.37467
Raghupathi, V., and Raghupathi, W. (2020). The influence of education on health: an empirical assessment of OECD countries for the period 1995–2015. Arch Public Health 78, 20. https://doi.org/10.1186/s13690-020-00402-5
Riantawan, P., Kusumawardani, N., Kusrini, I., & Efendi, F. (2020). Determinants of non-adherence to antihypertensive medications among hypertensive patients in Indonesia: A qualitative study. BMC Public Health, 20(1), 190.
Shankar, A., McMunn, A., Steptoe, A., & Banks, J. (2018). The influence of gender on the relationship between socioeconomic status and self-rated health in middle-aged and older adults. Social Science & Medicine, 208, 62-70.
Söylemez, G.K., and Aşılar, R.H. (2023). The relationship between hypertensive patients' satisfaction with hypertension care and their antihypertensive medication adherence. Journal of Vascular Nursing, 41(3), 81-88. https://doi.org/10.1016/j.jvn.2023.05.002
Umberson, D. and Montez, J.K. (2010). Social Relationships and Health: A Flashpoint for Health Policy. J. Health Soc Behav, 51(Suppl):S54-S66. https://doi.org/10.1177/002214651038350
Van Doorslaer, E., Masseria, C., Koolman, X., & Group, OESW (2006). Inequalities in access to medical care by income in developed countries. Canadian Medical Association Journal, 174 (2), 177–183. https://doi.org.10.1503/cmaj.050584
Venkatesh, V., et al. (2016). Adoption of health information technologies in U.S. hospitals: An analysis of adaptation, performance, and technology use. Health Services Research, 51(1), 1-20.
Widayati, A., Suryawati, S., & de Crespigny, C. (2019). Determinants of patients' decision to choose a Bpjs or non-Bpjs facility in Indonesian universal healthcare system. Value in Health Regional Issues, 18, 202-209.
Zhang, Y., Baik, S. H., & Brown, J. D. (2017). Effects of job characteristics and job satisfaction on burnout syndrome among community healthcare workers. Healthcare (Basel, Switzerland), 5(3), 29.
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